D026 QUALITY OUTCOMES IN A CULTURE OF
VALUE BASED NURSING CARE COMPLETE
SOLUTIONS
◉ The Deficit Reduction Act of 2005 and the Affordable Care Act of
2010 impacted....
Answer: HCAHPS measurements
◉ Hospitcal Consumer Assessment of Healthcare Providers and
Systems (HCAHPS)
Answer: it is a nationally standardized hospital survey of patients
perspective of stay. Developed by CMS in partnership with Agency
for Healthcare Research and Quality (AHRQ), and endorsed by
National Quality Forum (NQF). Provides objective comparison of
hospitals. The results are public and hospitals can get incentives to
improve quality of care.
◉ In accordance with the Deficit Reduction Act hospital subject to
Inpatient Prospective Parment System (IPPS)
Answer: annual payment update provisions must collect and submit
HCAHPS data in order to receive their full IPPS annual payment
update. Hospitals that fail to publically report the required quality
measures which include HCAHPS survey may receive reduced
payment.
, ◉ The Affordable Care Act includes HCAHPS
Answer: among the measures used to calculate value-based
incentive payments in the Hospital Value Based Purchasing Program.
◉ *Quality indicator Techniques and Applications--
Answer: quality indicator techniques-objective and quantitative
measures of structure, processes, and outcomes of care.
◉ Types of quality indicators are:
Answer: *clinical- pain management, level of function, re-
hospitilizations, morbidity rates, complications, etc
*financial- cost per case, cost per day, length of stay, etc
*productivity- wait times, length of stay, etc
* utilization- csection rate, incidental appendectomy in elderly,
appropriate level of care, etc
*quality- decub ulcer, foreign body left during procedure, hospital
acquired infection
*client experience- satisfaction and comfort.
◉ Delphi Technique
Answer: obtaining professional opinion for quality indicators. uses
series of questionnaires known as rounds to gather info. Rounds are
VALUE BASED NURSING CARE COMPLETE
SOLUTIONS
◉ The Deficit Reduction Act of 2005 and the Affordable Care Act of
2010 impacted....
Answer: HCAHPS measurements
◉ Hospitcal Consumer Assessment of Healthcare Providers and
Systems (HCAHPS)
Answer: it is a nationally standardized hospital survey of patients
perspective of stay. Developed by CMS in partnership with Agency
for Healthcare Research and Quality (AHRQ), and endorsed by
National Quality Forum (NQF). Provides objective comparison of
hospitals. The results are public and hospitals can get incentives to
improve quality of care.
◉ In accordance with the Deficit Reduction Act hospital subject to
Inpatient Prospective Parment System (IPPS)
Answer: annual payment update provisions must collect and submit
HCAHPS data in order to receive their full IPPS annual payment
update. Hospitals that fail to publically report the required quality
measures which include HCAHPS survey may receive reduced
payment.
, ◉ The Affordable Care Act includes HCAHPS
Answer: among the measures used to calculate value-based
incentive payments in the Hospital Value Based Purchasing Program.
◉ *Quality indicator Techniques and Applications--
Answer: quality indicator techniques-objective and quantitative
measures of structure, processes, and outcomes of care.
◉ Types of quality indicators are:
Answer: *clinical- pain management, level of function, re-
hospitilizations, morbidity rates, complications, etc
*financial- cost per case, cost per day, length of stay, etc
*productivity- wait times, length of stay, etc
* utilization- csection rate, incidental appendectomy in elderly,
appropriate level of care, etc
*quality- decub ulcer, foreign body left during procedure, hospital
acquired infection
*client experience- satisfaction and comfort.
◉ Delphi Technique
Answer: obtaining professional opinion for quality indicators. uses
series of questionnaires known as rounds to gather info. Rounds are
